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NPI Code Detail

MEDICARE: DR. THOMAS ROSE M.D.

MEDICARE: DR. THOMAS ROSE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician2019-00434NC
2207R00000XInternal Medicine PhysicianDR.75706CO

General Provider Information

NPI Number : 1639531098
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS ROSE M.D.
Provider Business Mailing Address
First Line : 2350 MEADOWS BLVD
Second Line :
City : CASTLE ROCK
State : CO
Zip : 80109-8405
Country : US
Telephone Number : 720-455-0655
Fax Number : 720-455-0065
Provider Business Practice Location Address
First Line : 2350 MEADOWS BLVD
Second Line :
City : CASTLE ROCK
State : CO
Zip : 80109-8405
Country : US
Telephone Number : 720-455-0655
Fax Number : 720-455-0065
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2016
Last Update Date : 01/14/2026

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